09D0721862 CLIA NUMBER - ABBAS MOTAZEDI MD

Laboratory Demographics

  • CLIA Code: 09D0721862
  • Facility Name: ABBAS MOTAZEDI MD
  • Facility Address: 1160 VARNUM ST NE 111
    WASHINGTON, DC
    ZIP 20017
  • Facility Phone: 202 269-0381
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABBAS MOTAZEDI MD
  • NPI Number: 1962572644
  • Taxonomy: 207RE0101X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 09D0721862
LAB Type Physician Office
Facility Name ABBAS MOTAZEDI MD
Street 1160 VARNUM ST NE 111
City WASHINGTON
State DC
ZIP 20017
Phone 202 269-0381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ABBAS MOTAZEDI MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025